Register your asbestos exposure

Please register your asbestos exposure with Maurice Blackburn's national asbestos database. To be registered on our database, you need to complete all required fields.

Note: * Denotes required fields.

Contact Details

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Date of Birth

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Exposure Details

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If possible, please provide names of two co-workers who can confirm your exposure
 
   
 
 
 

Please note this is a general enquiry form. Completing and submitting this form does not constitute giving Maurice Blackburn instruction to act on your behalf.